Credentialing Analyst Jobs
Credentialing Analyst jobs are open across healthcare systems, insurance carriers, and managed care organizations, with specializations in provider credentialing, payer enrollment, and compliance, at every level from entry-level coordinator to senior analyst and credentialing manager. Find a role that fits below and apply directly.
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Showing 5 of 20+ Credentialing Analyst jobs
The Data Analyst has oversight of the credentialing database information, and is involved in data entry and integrity. This position works with the Manager for installation, maintenance, security, compliance with policies and procedures, and interfaces with UH users and system applications. Performs complex, diversified administrative, operational and strategic functions related to enterprise credentialing information management.
-
Data Maintenance:
- Analyze and manage all data maintained in system credentialing database following strict data standards.
- Maintain the hospital system’s Practitioner Directory by completing update and correction requests.
- Manage all pending staff records.
- Manage system house staff records in credentialing database.
- Manage system referring program.
- Monitor and maintain Ohio licenses, Nurse and House Staff DEA Suffixes and other ID numbers.
-
Database Development/Troubleshooting:
- Assist in the integration of new hospital acquisitions, including setting up staff records in MSOW, organizing scanned files, training new team members, developing privilege and other forms, etc.
- Assist Manager with creation of electronic work processes in the credentialing database.
- Participate in the development of new technologies, database modules, and upgrade testing.
- Troubleshoot and find solutions for issues with credentialing database, forms, connectivity, departmental shared drive and user errors.
-
Form and Web Development/Maintenance:
- Assist Credentialing Information System Supervisor with system privilege form development, editing and updates.
- Develop and maintain all interactive applications and forms, and work with report writers to develop peer evaluations and reports to support a paperless environment.
- Develop and maintain department intranet site.
- Develop and maintain departmental policies and procedures, and develop a structure to keep them organized in an electronic library.
-
Support:
- Assist other system and hospital departments with data updates, projects, interface troubleshooting and reports.
- Audit all initial appointment files of newly credentialed providers and status/privilege changes ensuring all requirements are met and set up the practitioner records in the credentialing database which feed multiple downstream systems.
- Functions as an agent of the protected peer review process.
- Plan and implement the reappointment process and assist and guide the process to completion.
- Support other members of the department (Coordinators, Credentialing Specialists, Provider Enrollment, Management and the Delegated Credentialing team) with training, troubleshooting, data updates, reports, process development and data projects.
- Train new credentialing database users for all levels of access.
- Performs other duties as assigned.
- Complies with all policies and standards.
- For specific duties and responsibilities, refer to documentation provided by the department during orientation.
- Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
- Bachelor's Degree preferably in business, computer science, or information systems (Required)
- 3+ years experience with databases, preferably in a networked healthcare environment (Required)
- Previous experience in medical staff credentialing (Preferred)
- Experience with managing large volumes of mixed data sources (Preferred proficiency)
- Experience with MSOW credentialing software, Crystal Reports, SQL Server, Adobe Illustrator, Adobe Photoshop, and Adobe InDesign also (Preferred proficiency)
- Work experience in performing process, operational and system audits (Preferred proficiency)
- Proficiency in Microsoft Excel, Word and Outlook (Required proficiency)
- Proficiency in Microsoft Access and Adobe Acrobat Professional (Preferred proficiency)
- Excellent verbal and written communication skills. (Required proficiency)
- Maintenance of confidentiality essential (Required proficiency)
- Demonstrated superior organization skills (Required proficiency)
- Ability to multi-task, adjust to change, establish priorities, work collaboratively and independently and under deadline pressure in a high-stress environment essential. (Required proficiency)
- Analytical thinker, organized, attention to detail is essential. (Required proficiency)
- CPCS, CPMSM, MSOW-C, Microsoft, Adobe, LEAN Six-Sigma training or other certification (Preferred)
- Standing Occasionally
- Walking Occasionally
- Sitting Constantly
- Lifting Rarely up to 20 lbs
- Carrying Rarely up to 20 lbs
- Pushing Rarely up to 20 lbs
- Pulling Rarely up to 20 lbs
- Climbing Rarely up to 20 lbs
- Balancing Rarely
- Stooping Rarely
- Kneeling Rarely
- Crouching Rarely
- Crawling Rarely
- Reaching Rarely
- Handling Occasionally
- Grasping Occasionally
- Feeling Rarely
- Talking Constantly
- Hearing Constantly
- Repetitive Motions Frequently
- Eye/Hand/Foot Coordination Frequently
- 10%
The Data Analyst has oversight of the credentialing database information, and is involved in data entry and integrity. This position works with the Manager for installation, maintenance, security, compliance with policies and procedures, and interfaces with UH users and system applications. Performs complex, diversified administrative, operational and strategic functions related to enterprise credentialing information management.
-
Data Maintenance:
- Analyze and manage all data maintained in system credentialing database following strict data standards.
- Maintain the hospital system’s Practitioner Directory by completing update and correction requests.
- Manage all pending staff records.
- Manage system house staff records in credentialing database.
- Manage system referring program.
- Monitor and maintain Ohio licenses, Nurse and House Staff DEA Suffixes and other ID numbers.
-
Database Development/Troubleshooting:
- Assist in the integration of new hospital acquisitions, including setting up staff records in MSOW, organizing scanned files, training new team members, developing privilege and other forms, etc.
- Assist Manager with creation of electronic work processes in the credentialing database.
- Participate in the development of new technologies, database modules, and upgrade testing.
- Troubleshoot and find solutions for issues with credentialing database, forms, connectivity, departmental shared drive and user errors.
-
Form and Web Development/Maintenance:
- Assist Credentialing Information System Supervisor with system privilege form development, editing and updates.
- Develop and maintain all interactive applications and forms, and work with report writers to develop peer evaluations and reports to support a paperless environment.
- Develop and maintain department intranet site.
- Develop and maintain departmental policies and procedures, and develop a structure to keep them organized in an electronic library.
-
Support:
- Assist other system and hospital departments with data updates, projects, interface troubleshooting and reports.
- Audit all initial appointment files of newly credentialed providers and status/privilege changes ensuring all requirements are met and set up the practitioner records in the credentialing database which feed multiple downstream systems.
- Functions as an agent of the protected peer review process.
- Plan and implement the reappointment process and assist and guide the process to completion.
- Support other members of the department (Coordinators, Credentialing Specialists, Provider Enrollment, Management and the Delegated Credentialing team) with training, troubleshooting, data updates, reports, process development and data projects.
- Train new credentialing database users for all levels of access.
- Performs other duties as assigned.
- Complies with all policies and standards.
- For specific duties and responsibilities, refer to documentation provided by the department during orientation.
- Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
- Bachelor's Degree preferably in business, computer science, or information systems (Required)
- 3+ years experience with databases, preferably in a networked healthcare environment (Required)
- Previous experience in medical staff credentialing (Preferred)
- Experience with managing large volumes of mixed data sources (Preferred proficiency)
- Experience with MSOW credentialing software, Crystal Reports, SQL Server, Adobe Illustrator, Adobe Photoshop, and Adobe InDesign also (Preferred proficiency)
- Work experience in performing process, operational and system audits (Preferred proficiency)
- Proficiency in Microsoft Excel, Word and Outlook (Required proficiency)
- Proficiency in Microsoft Access and Adobe Acrobat Professional (Preferred proficiency)
- Excellent verbal and written communication skills. (Required proficiency)
- Maintenance of confidentiality essential (Required proficiency)
- Demonstrated superior organization skills (Required proficiency)
- Ability to multi-task, adjust to change, establish priorities, work collaboratively and independently and under deadline pressure in a high-stress environment essential. (Required proficiency)
- Analytical thinker, organized, attention to detail is essential. (Required proficiency)
- CPCS, CPMSM, MSOW-C, Microsoft, Adobe, LEAN Six-Sigma training or other certification (Preferred)
- Standing Occasionally
- Walking Occasionally
- Sitting Constantly
- Lifting Rarely up to 20 lbs
- Carrying Rarely up to 20 lbs
- Pushing Rarely up to 20 lbs
- Pulling Rarely up to 20 lbs
- Climbing Rarely up to 20 lbs
- Balancing Rarely
- Stooping Rarely
- Kneeling Rarely
- Crouching Rarely
- Crawling Rarely
- Reaching Rarely
- Handling Occasionally
- Grasping Occasionally
- Feeling Rarely
- Talking Constantly
- Hearing Constantly
- Repetitive Motions Frequently
- Eye/Hand/Foot Coordination Frequently
- 10%
Credentialing Analyst Jobs by Experience Level
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Find Credentialing Analyst JobsCredentialing Analyst Job Market
Who's Hiring
Top Industries Hiring
- Insurance
- Healthcare & Medical Services
What Employers Look For
The qualifications that appear most often in credentialing analyst jobs.
- 1-3 years of experience in provider credentialing, payer enrollment, or medical staff services
- Proficiency with credentials management systems such as Cactus, MD-Staff, or CredentialStream
- Knowledge of NCQA, URAC, or Joint Commission credentialing standards and accreditation requirements
- Experience conducting primary source verification for clinical licenses, DEA, malpractice, and board certifications
- Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) preferred
- Strong attention to detail and ability to manage high-volume provider files against strict compliance deadlines
Tips for Your Credentialing Analyst Job Search
Tailor your resume to the credentialing cycle
Highlight your experience across each phase of the provider credentialing lifecycle, from primary source verification through committee review and re-credentialing. Recruiters scan for fluency with specific stages, not just the word credentialing, so name the exact workflows you have owned.
List your credentials management software by name
Job postings for credentialing analysts almost always name the platform they use, whether that is Cactus, MD-Staff, Echo, or CredentialStream. Match your resume to those platforms by listing each system you have worked in and the volume of providers you managed inside it.
Apply early to roles that fit
Migrate Mate lists credentialing analyst openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Target postings by payer or provider setting
Credentialing analyst roles differ significantly between hospital systems, single-specialty groups, delegated credentialing organizations, and health plans. Filtering openings by the type of organization narrows your search to the work environment and payer mix you already know, which strengthens your application from the start.
Prepare for scenario questions about CAQH and NCQA
Interviewers for credentialing analyst positions routinely ask how you have handled CAQH ProView discrepancies, NCQA standards audits, or expiring documentation under a deadline. Prepare two or three specific examples that show how you resolved a gap before it affected a provider's ability to bill.
Negotiate by citing your accreditation knowledge
When discussing compensation, anchor your ask to measurable contributions: the number of providers you credentialed per month, your re-credentialing completion rate, or your experience managing delegated credentialing agreements. Concrete volume and accuracy metrics carry weight that general claims about attention to detail do not.
Credentialing Analyst Jobs: Frequently Asked Questions
Which companies are hiring the most credentialing analysts?
The most active employers for credentialing analysts right now are Oscar Management Corporation, HealthRIGHT 360, and Johns Hopkins Health System, and the most openings are in Texas, California, and Maryland, based on current listings on Migrate Mate as of November 2026. Health systems, managed care organizations, and credentialing verification organizations tend to post the highest volumes throughout the year.
How many credentialing analyst jobs are remote?
About 64% of credentialing analyst openings are fully remote or hybrid as of November 2026, reflecting how much of the work centers on database management, document review, and payer portal access rather than on-site tasks. Payer enrollment and delegated credentialing coordinator roles tend to be the most remote-friendly sub-areas within this field.
How do you become a credentialing analyst?
Most credentialing analysts start with a bachelor's degree in healthcare administration, business, or a related field, then gain hands-on experience in a medical staff office, billing department, or payer enrollment team. Building familiarity with primary source verification processes and credentialing software comes next, followed by earning a CPCS or CPMSM certification to signal professional competency to employers.
Can I get a credentialing analyst job with little or no experience?
Entry-level credentialing analyst roles are realistic with a healthcare administration degree and even a few months of relevant administrative experience, such as working in a medical staff office, insurance verification, or provider relations. Employers often accept candidates who demonstrate familiarity with CAQH ProView, basic medical terminology, and document management workflows, even without formal credentialing titles on their resume.
What does the credentialing analyst interview process look like?
Most credentialing analyst interviews involve an initial phone or video screen with HR, followed by a panel or one-on-one interview with the credentialing manager or medical staff director. Candidates are typically asked to walk through their experience with specific credentialing platforms, explain how they handle expiring documents or primary source discrepancies, and demonstrate their knowledge of relevant accreditation standards like NCQA or URAC.
Where can I find and apply to credentialing analyst jobs?
You can find and apply to credentialing analyst jobs on Migrate Mate, which lists current openings from across the United States in one place. Find roles that match your experience and specialization, then apply directly to each listing that fits.
See All 20 Credentialing Analyst Jobs
Find roles that match your experience and apply in just a few clicks.
Find Credentialing Analyst Jobs